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Active NPI 1861999021 Individual Practitioner Male Practitioner

Dr. Ebenezer Zentah Fozao , MD, DO

Emergency Medicine • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ebenezer Fozao, MD, DO is a certified Emergency Medicine practicing in Tyler, TX. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Fozao delivers high-quality medical care to the local community at 800 E DAWSON ST.

Dr. Fozao is affiliated with Northeast Texas Emergency Physicians Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 E Dawson St

Tyler, TX 757012036

Telephone 9036064262
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Tyler, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -10.4 yrs vs City Avg
City Avg: 18.4 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
91 Specialists

Practicing in Tyler, TX (5048 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fozao (8 Years) 8 Yrs
Tyler Specialty Average (18.4 Years) 18.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
314 301 $2350.00 $167.60
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
186 180 $117.00 $7.70
99284 Emergency department visit with moderate level of medical decision making
153 148 $1593.00 $115.60
99291 Critical care, first 30-74 minutes
80 77 $3026.00 $200.73

Medical Specialties & State Licenses

CMS Verified: 2022-08-25
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License TX T6568

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Northeast Texas Emergency Physicians Pllc

719 W Coke Rd, Winnsboro, TX 754943011

Phone: 9033425227

Secondary Practice Locations

2201 Hempstead Tpke

East Meadow, NY 115541859

Phone: 5162962899

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Dr. James Carr , MD

Emergency Medicine

NPI 1013322619

Doctor of Medicine (M.D.)

Dr. Clinton Smithson , MD

Emergency Medicine

NPI 1083025134

Doctor of Medicine (M.D.)

Justin Timmons , FNP

Nurse Practitioner - Family

NPI 1093916017

Family Nurse Practitioner

David Fannon , MPAS, PA-C

Physician Assistant - Medical

NPI 1154660975

MPAS, Physician Assistant (Certified)

Carly Diviney , APRN FNP-C

Nurse Practitioner - Family

NPI 1235928425

APRNFNPC

Katharine Scheusner , NP

Nurse Practitioner - Family

NPI 1326374802

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 25, 2022

Registered at 800 E DAWSON ST, TYLER, TX 757012036 (Tel: 9036064262)

📍
Updated Business Mailing Address August 25, 2022

Registered at PO BOX 841656, DALLAS, TX 752841656 (Tel: 9035315000)

NPI Profile Active April 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2018

Registered at 2201 HEMPSTEAD TPKE, EAST MEADOW, NY 115541859 (Tel: 5162962899)

📍
Updated Business Mailing Address April 12, 2018

Registered at 2201 HEMPSTEAD TPKE, EAST MEADOW, NY 115541859 (Tel: 5162962899)

👤
Provider Name / Credentials Updated April 12, 2018

Recorded as EBENEZER FOZAO, MD, DO.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 12, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861999021
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2018
Last Update: August 25, 2022
Sole Proprietor: No

Mailing Address

Po Box 841656

Dallas, TX 752841656

Phone: 9035315000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.